Active NPI
Bradley Goldman
- Physical Therapist
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT10059
- Practice address
- 10282 Islander Dr
Boca Raton, FL 33498-6306 - Phone
- (561) 702-3838
- Fax
- (561) 477-8974
- NPI assigned
- Jun 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT10059 | FL | Primary |
Addresses
Primary practice location
10282 Islander Dr
Boca Raton, FL 33498-6306
Mailing address
10282 Islander Dr
Boca Raton, FL 33498-6306
Phone (561) 702-3838
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y6724 | Other | FL | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Surgery Associates PA | Current | Accepting new patients | |
| On Site Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Healthworx Physical Therapy Centers LLC | Current | Accepting new patients | |
| Orthopaedic Surgery Associates, PA | Current | Accepting new patients | |
| Hope Physical Therapy Inc. | Past | Accepting new patients |
Locations
1601 Clint Moore Rd
Ste 125
Boca Raton, FL 33487
Phone (561) 395-5733
2623 S Seacrest Blvd
Ste 210
Boynton Beach, FL 33435
Phone (561) 736-9699
2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277
3500 Clubhouse Ln
Boynton Beach, FL 33436
Phone (561) 735-8559
200 Admirals Cove Blvd
Jupiter, FL 33477
Phone (561) 745-5920
521 Lake Ave
Ste 8
Lake Worth, FL 33460
Phone (305) 484-0832
7318 Lake Worth Rd
Lake Worth, FL 33467
Phone (561) 477-6929
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Jupiter, FL
- NPI 1033318266
-
- Orthopaedic Surgery Physician
- Boynton Beach, FL
- NPI 1104865088
-
- Physical Therapy Clinic/Center
- Lake Worth, FL
- NPI 1053670463
-
- Durable Medical Equipment & Medical Supplies
- Boynton Beach, FL
- NPI 1285316414
-
- Physical Therapy Clinic/Center
- Lake Worth, FL
- NPI 1427290956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447891200000",
"number": "1447419494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10282 ISLANDER DR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334986306",
"telephone_number": "561-702-3838",
"fax_number": "561-477-8974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10282 ISLANDER DR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334986306",
"telephone_number": "561-702-3838",
"fax_number": "561-477-8974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN",
"first_name": "BRADLEY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-05",
"last_updated": "2015-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT10059",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "Y6724",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.